Quality Management Analyst
$73,000–$80,000 year
On-siteOklahoma, United States
Job Summary
Develop expertise in government contractual and regulatory requirements for Medicaid and Medicare programs by researching, interpreting, and operationalizing updated standards. Lead and facilitate projects that monitor quality program performance, developing comprehensive work plans and tracking metrics through dashboards. Collaborate across Compliance, Operations, Clinical, and Provider Relations teams to coordinate contract readiness activities and support responses to internal and external audits. Conduct quantitative and qualitative analyses of quality data to evaluate trends and prepare required regulatory deliverables. Monitor quality standards and accreditation requirements while protecting Protected Health Information in accordance with company policies.
Required Qualifications
- Bachelor's degree in Healthcare Administration or a related field
- 2 to 5 years of project management experience
- Strong organizational skills with the ability to manage multiple priorities in a fast-paced, deadline-driven environment
- Excellent analytical, reporting, and problem-solving capabilities
- Outstanding written, verbal, and interpersonal communication skills
- Advanced proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, Outlook, and Access
Desired Qualifications
- Experience in Dental Managed Care, Healthcare Quality, Medicaid, Medicare, or Program Management
- Knowledge of government program operations, contractual obligations, and regulatory requirements
- Familiarity with CMS, NCQA, URAC, or similar compliance and accreditation standards
- Experience facilitating cross-functional meetings, training programs, or quality improvement initiatives
- Ability to analyze large data sets, identify trends, and communicate actionable insights
- Bilingual communication skills
- Experience with reporting and data visualization tools such as Power BI
- Bachelor's degree in Healthcare Administration or a related field, or equivalent combination of education and experience
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